NPI | 1962765529 |
---|---|
Other Name | OIHN - ORCHARD LAKE CENTER |
Entity Type | Organization |
Authorized Contact | DEBRA LUSTIG CEO 248-724-7438 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2016-06-01 |