Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI Number | 1114580586 |
| LBN Legal business name | CHILDREN AND FAMILY COMPREHENSIVE HEALTH OUTREACH, INC. |
| Authorized official | LINDA PIGUE - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/20/2019 |
| Last updated | 06/11/2019 - About 7 years ago |
| Identifiers | n/a |
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| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |