| NPI | 1770059156 |
|---|---|
| Doing Business As | MILE SQUARE AUBURN GRESHAM HEALTH AND WELLNESS CENTER IHH |
| Entity Type | Organization |
| Authorized Contact | HENRY TAYLOR CEO 312-413-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-25 |