NPI | 1548464951 |
---|---|
Other Name | GREAT LAKES BAY HEALTH CENTERS MANCHESTER |
Entity Type | Organization |
Authorized Contact | LISA GALONASKA Vice President 989-759-6464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2016-09-19 |