| NPI | 1932724390 |
|---|---|
| Doing Business As | FRIEND HEALTH - SOUTH SHORE |
| Entity Type | Organization |
| Authorized Contact | SABRINA G MOORE CFO 773-702-2193 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |