| NPI | 1841079787 |
|---|---|
| Doing Business As | GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MISTY GUNTER RUSSIAN Supervisor, Provider Enrollment 517-253-6308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-11-08 |