NPI | 1528653482 |
---|---|
Doing Business As | H STREET CLINIC COACHELLA |
Entity Type | Organization |
Authorized Contact | ELEANOR PEREZ COO 909-381-0803 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-11-10 |