NPI | 1205222544 |
---|---|
Doing Business As | BAKER STREET VILLAGE COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | OLGA MEAVE Chief Executive Officer 661-635-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-02-09 |