NPI | 1447804604 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN CHRISTIAN Provider Enrollment 989-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |