| NPI | 1548407992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GALONSKA Interum President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2016-09-19 |