| NPI | 1780702571 |
|---|---|
| Other Name | GREAT LAKES BAY HEALTH CENTERS JANES STREET |
| Entity Type | Organization |
| Authorized Contact | LISA M GALONSKA Vice President 989-759-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-02-08 |