| NPI | 1710688668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ROSE STEVENS Lead Ehr/Revenue Cycle Coordinator 989-779-5642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |