| NPI | 1497551576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE SENKUS Health Officer 906-253-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |