| NPI | 1588656268 |
|---|---|
| Doing Business As | PETALUMA HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHRYN POWELL CEO 707-559-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-03-24 |