NPI | 1861972655 |
---|---|
Other Name | ALIVIO MEDICAL CENTER AT BENITO JUAREZ COMMUNITY ACADEMY |
Entity Type | Organization |
Authorized Contact | KARLA RENEE WRIGHT Credentialing Specialist 773-650-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |