NPI | 1386981264 |
---|---|
Doing Business As | ESPERANZA LITTLE VILLAGE |
Entity Type | Organization |
Authorized Contact | DANIEL FULWILER CEO 773-584-6130 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2013-03-06 |