NPI | 1427176502 |
---|---|
Other Name | GREAT LAKES BAY HEALTH CENTERS ST. VINCENT |
Entity Type | Organization |
Authorized Contact | LISA GALONASKA Vice President 989-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-04-03 |