NPI | 1114257300 |
---|---|
Doing Business As | NORTHSHORE REGIONAL HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | JANICE WILSON CEO 219-763-8112 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-01-11 |
Last Update Date | 2013-03-12 |