| 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 |