| Pontiac High School Teen Health Center | |
|
1051 Arlene Ave Pontiac MI 48340-2904 | |
| (248) 857-4732 | |
| Not Available |
| Full Name | Pontiac High School Teen Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1051 Arlene Ave, Pontiac, Michigan |
| Authorized Official Name and Position | Debra Brinson (CEO) |
| Authorized Official Contact | 5172817149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pontiac High School Teen Health Center Po Box 430150 Pontiac MI 48343-0150 Ph: () - | Pontiac High School Teen Health Center 1051 Arlene Ave Pontiac MI 48340-2904 Ph: (248) 857-4732 |
| NPI Number | 1700315223 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 06/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700315223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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