| NPI | 1174307276 |
|---|---|
| Doing Business As | JOHN O'CONNELL HIGH SCHOOL-BASED CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANNA ROBERT CEO 415-552-1013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |