| NPI | 1639997257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE R. PIERCE CEO 810-406-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |