NPI | 1821517681 |
---|---|
Other Name | SSCHC LAYTON CLINIC |
Entity Type | Organization |
Authorized Contact | MARIA CECILIA S TAYLOR CFO 414-803-6395 |
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) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2017-09-13 |
Last Update Date | 2023-05-16 |