| NPI | 1700539517 |
|---|---|
| Other Name | AUNT MARTHA'S PEORIA 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) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |