NPI | 1417958943 |
---|---|
Doing Business As | SAN FERNANDO HIGH SCHOOL TEEN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KIMBERLY WYARD Chief Executive Officer 818-898-1388 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2022-02-23 |