NPI | 1568055747 |
---|---|
Doing Business As | AUNT MARTHA'S DANVILLE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | AUDREY PENNINGTON COO 773-802-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-02-18 |
Last Update Date | 2021-02-18 |