NPI | 1841614609 |
---|---|
Doing Business As | INTEGRATED HEALTH CARE - AVIVA |
Entity Type | Organization |
Authorized Contact | ELIZABETH M RALEIGH Director 312-996-7663 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-02-13 |
Last Update Date | 2016-01-22 |