Organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Active
Parent organization
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Other names
UCC: Bruce Guadalupe Middle School
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC
Authorized official
MARIA CECILIA S TAYLOR (CFO)
(414) 897-5407
Entity
Organization
Contact information
Practice address
920 S 9TH ST, MILWAUKEE, WI 53204-1361
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-0001
(414) 672-1353
(414) 672-0191
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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