| NPI | 1760645386 |
|---|---|
| Doing Business As | CENTRACARE |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA ELIZABETH GREEN LUETH CEO 269-441-9332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2017-03-02 |