| NPI | 1831341809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNITA LINN Coordinator 810-762-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MI 4301093346) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-11-10 |