| NPI | 1609099738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SPENCER CEO 989-358-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-05-21 |