| NPI | 1811065576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R CRAWFORD President And CEO 269-349-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-11-09 |