NPI | 1407482219 |
---|---|
Doing Business As | ACCESS BRICKYARD FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DONNA THOMAS CEO 312-526-2051 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-03-13 |
Last Update Date | 2020-03-13 |