| NPI | 1619368636 |
|---|---|
| Doing Business As | LA CLINICA SCHOOL BASED HEALTH CENTER AT MAE RICHARDSON ELEMENTARY SCH |
| Entity Type | Organization |
| Authorized Contact | TARA LYNETTE JEANNOT Chief Operations Officer 541-535-6239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-07-15 |