| NPI | 1447723564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRONNE WARD President And CEO 708-444-1012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-11-20 |