NPI | 1609892223 |
---|---|
Doing Business As | PCC AUSTIN FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ALYSSA SIANGHIO President CEO 708-524-7686 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 002) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2024-10-16 |