| NPI | 1831635770 |
|---|---|
| Doing Business As | CROSSING HEALTHCARE ON WATER ST |
| Entity Type | Organization |
| Authorized Contact | TANYA ANDRICKS Executive Director/CEO 217-877-9117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-02-10 |