NPI | 1386951317 |
---|---|
Former Legal Business Name | WEST SUBURBAN TEEN CLINIC |
Entity Type | Organization |
Authorized Contact | MEGAN LICHTY Director Of Admin. & Ops. 952-767-0928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2010-09-13 |
Last Update Date | 2016-12-22 |