| NPI | 1326514365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CUSH MVUDUDU Controller 312-337-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-01-27 |