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 | 2024-06-03 |