| 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 |