NPI | 1134954506 |
---|---|
Doing Business As | PCC PRIMARY CARE PAVILION |
Entity Type | Organization |
Authorized Contact | ALYSSA SIANGHIO President And CEO 708-524-7686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-09-05 |