| NPI | 1477175305 |
|---|---|
| Doing Business As | FRIEND HEALTH - GRESHAM |
| Entity Type | Organization |
| Authorized Contact | ANGEL MCREYNOLDS Dir. Of Provider Services 773-795-2260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |