NPI | 1356061899 |
---|---|
Doing Business As | PCC DR. BURDICK FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TONI BUSH President And CEO 708-524-7686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-09-02 |
Last Update Date | 2022-09-02 |