| NPI | 1497825939 |
|---|---|
| Other Name | TEEN CENTER AT PARKSIDE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MAYO Patient Accounts.Manager 517-748-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2022-02-10 |