NPI | 1487532198 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER S CHANG President / CEO 269-965-8866 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-08-22 |
Last Update Date | 2025-08-22 |