| NPI | 1518922525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL LUMSDEN Assistant Health Director 906-632-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-09-12 |