| NPI | 1871272583 |
|---|---|
| Other Name | CROOKED TREE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | SANDRA RUTH DUBOIS Medical Billing Specialist 231-878-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-19 |