NPI | 1518194364 |
---|---|
Doing Business As | UIC-MSHC COLLEGE PREP HEALTH AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT TAYLOR CFO 312-413-1789 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2009-06-22 |