| NPI | 1306861034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH CATHERINE VALUKAS Executive Director 773-878-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |