| 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 |