NPI | 1700901246 |
---|---|
Doing Business As | FAMILY HEALTH CENTER, EDISON SCHOOL BASED HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DENISE R CRAWFORD President And CEO 269-349-4257 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301063404) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801046074) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2017-09-15 |