| NPI | 1548734007 |
|---|---|
| Doing Business As | MIDWAY COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | GERTHA WELLS CEO 708-574-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |