NPI | 1497130280 |
---|---|
Former Legal Business Name | COMMUNITY HEALTH CLINIC OLE |
Entity Type | Organization |
Authorized Contact | ALICIA HARDY Chief Executive Officer 707-254-1774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2019-11-15 |