| NPI | 1427426402 |
|---|---|
| Doing Business As | WILLOW COMMUNITY ICHD |
| Entity Type | Organization |
| Authorized Contact | KRIS DRAKE Dho / Ed 517-887-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-04-28 |