| NPI | 1700315223 |
|---|---|
| Doing Business As | PONTIAC HIGH SCHOOL TEEN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA BRINSON CEO 517-281-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |