| NPI | 1760630750 |
|---|---|
| Doing Business As | INTERFAITH HOUSE |
| Entity Type | Organization |
| Authorized Contact | ROBERT J URSO President And CEO 708-383-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 006) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2022-07-21 |