| NPI | 1982094876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P RASCHKE Executive Director 989-422-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |