| NPI | 1831510890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JAMES Provider Enrollment Coordinator 989-701-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2022-09-27 |