NPI | 1104243823 |
---|---|
Former Legal Business Name | EL RINCON COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | EDDY BORRAYO President/CEO 773-564-9070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2014-03-19 |
Last Update Date | 2016-10-07 |