| NPI | 1861085102 |
|---|---|
| Other Name | CITYBLOCK HEALTH |
| Entity Type | Organization |
| Authorized Contact | DEBORAH JORDAN Legal 608-335-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-09-15 |