NPI | 1083679385 |
---|---|
Other Name | SIXTEENTH STREET COMMUNITY HEALTH CENTERS INC |
Doing Business As | SIXTEENTH STREET COMMUNITY HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | TANYA M STAMPS Chief Financial Officer 414-897-5407 |
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 | 2025-01-08 |