Organization
PRIMO CENTER FOR WOMEN AND CHILDREN
Active
Parent organization
PRIMO CENTER FOR WOMEN AND CHILDREN
Other names
Primo center for Women and Children IHH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMO CENTER FOR WOMEN AND CHILDREN
Authorized official
ANITA CARTER (DIRECTOR OF BILLING/MANAGE CARE STR)
(773) 826-7991
Entity
Organization
Contact information
Practice address
6212 S SANGAMON ST, CHICAGO, IL 60621-2006
(773) 826-7991
(773) 471-6099
Mailing address
6212 S SANGAMON ST, CHICAGO, IL 60621-2006
(773) 826-7991
(773) 471-6099
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/19/2018
Last updated
10/01/2020
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