NPI | 1356714646 |
---|---|
Doing Business As | DORA STREET HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CAROLE PRESS C.E.O. 707-468-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-11-09 |
Last Update Date | 2015-11-20 |