| NPI | 1952713323 |
|---|---|
| Doing Business As | MILE SQUARE AUBURN GRESHAM HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BOYD Director 312-996-4656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-28 |