Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Maternal Support
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GALONSKA (VICE PRESIDENT)
(989) 759-6464
Entity
Organization
Contact information
Practice address
700 COURT ST, SAGINAW, MI 48602-4251
(989) 921-5372
(989) 921-5373
Mailing address
501 LAPEER, HEALTH DELIVERY INC, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800G311640
SOCIAL WORKERS GROUP
MI
Enumeration date
09/27/2006
Last updated
01/31/2023
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