| NPI | 1801331137 |
|---|---|
| Doing Business As | GREAT LAKES BAY HEALTH CENTERS MOBILE DENTAL BUS 3 |
| Entity Type | Organization |
| Authorized Contact | LISA GALONSKA Vice President 989-759-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2017-01-05 |