| NPI | 1346707254 |
|---|---|
| Doing Business As | MILE SQUARE DR. CYNTHIA BARNES-BOYD/DRAKE HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | VICTORIA MARIE LEVITSKE Director Of Finance 312-996-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-08-09 |