| NPI | 1609451905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BLONDIN CFO 231-733-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-04-12 |