NPI | 1467208900 |
---|---|
Doing Business As | SOCIAL CLUB SHELTER |
Entity Type | Organization |
Authorized Contact | ZACHARY SPREITZER Sr Director Of Finance 773-584-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-04-25 |