| NPI | 1710648787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA GARLAND Director 708-925-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-13 |