| NPI | 1306500574 |
|---|---|
| Other Name | NORTH VALLEY HIGH SCHOOL SBHC |
| Entity Type | Organization |
| Authorized Contact | RICHARD BOOTH CEO 541-471-3455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |