NPI | 1134316631 |
---|---|
Doing Business As | ERIE TEEN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GABRIELA NORENA Billing Department Supervisor 312-432-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2008-06-02 |