| NPI | 1952894180 |
|---|---|
| Doing Business As | PROMISE HEALTHCARE AT THE USBHC |
| Entity Type | Organization |
| Authorized Contact | NANCY GREENWALT Executive Director 217-403-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |