NPI | 1609199934 |
---|---|
Doing Business As | ANTELOPE VALLEY COMMUNITY CLINIC - LANCASTER |
Entity Type | Organization |
Authorized Contact | JAMES A. COOK CEO 661-942-2391 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001130) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2012-12-06 |