NPI | 1649559642 |
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Doing Business As | UNITED COMMUNITY CENTER GERIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | MARIA CECILIA S TAYLOR CFO 414-803-6395 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WI 1507-800) |
Enumeration Date | 2011-08-08 |
Last Update Date | 2023-05-15 |