| NPI | 1629327424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN GOVERN Administrator 906-475-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |