| NPI | 1942384409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LOUISE BUTTRICK Chief Health Services 231-922-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |