NPI | 1851630115 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN TROOP Reimbursement Officer 810-247-3496 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2013-02-06 |
Last Update Date | 2022-05-10 |