COUNTY OF INGHAM

NPI # 

Practice Address:

812 E Jolly Rd

Lansing, MI, 48910-6818

Practice Phone:

517-244-8030

Practice Fax:

517-393-3147

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X