| NPI | 1518690841 |
|---|---|
| Doing Business As | NORTHLAKES COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA RICE CEO 715-372-0323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-10-12 |