NPI | 1629118161 |
---|---|
Doing Business As | AUNT MARTHAS HEALTH AND OUTREACH CENTER |
Entity Type | Organization |
Authorized Contact | AUDREY PENNINGTON Exec. VP Of Health 773-802-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2016-11-02 |