NPI | 1902972557 |
---|---|
Doing Business As | CRUSADER CLINIC |
Entity Type | Organization |
Authorized Contact | SAMUEL MILLER President & CEO 815-490-1737 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2022-08-24 |