| NPI | 1700144243 |
|---|---|
| Doing Business As | ERIE DIVISION STREET HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GABRIELA NORENA Patient Account Supervisor 312-432-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |