NPI | 1518092410 |
---|---|
Other Name | SSCHC PARKWAY CLINIC |
Entity Type | Organization |
Authorized Contact | MARIA CECILIA S TAYLOR CFO 414-803-6395 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 104100000X Social Worker |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
225100000X Physical Therapist | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
367A00000X Advanced Practice Midwife | |
101Y00000X Counselor | |
103T00000X Psychologist | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2023-05-16 |