| NPI | 1538301668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JAMES Manager, Provider Enrollment 989-701-4734 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2025-10-01 |