| NPI | 1528435526 |
|---|---|
| Other Name | GREAT LAKES BAY HEALTH CENTERS OLD TOWN |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Vice President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2022-08-25 |