NPI | 1861667404 |
---|---|
Entity Type | Organization |
Authorized Contact | SABRINA MOORE CFO 773-702-5821 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2012-11-28 |