| NPI | 1821159625 |
|---|---|
| Other Name | 31ST STREET SEXUALLY TRANSMITTED DISEASES |
| Entity Type | Organization |
| Authorized Contact | SARAI M JACKSON Director Of Revenue 312-747-9792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-05-27 |