NPI | 1871749473 |
---|---|
Doing Business As | WINFIELD-MOODY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CUSH MVUDUDU Controller 312-337-1073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A09410001A) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2023-01-27 |