| NPI | 1083679385 |
|---|---|
| Other Name | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
| Doing Business As | SIXTEENTH STREET COMMUNITY HEALTH CENTERS |
| Entity Type | Organization |
| Authorized Contact | CREDENTIALING SPECIA SCHULLER CEO 414-672-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-10-08 |