| NPI | 1710199674 |
|---|---|
| Doing Business As | ANTELOPE VALLEY COMMUNITY CLINIC - MOBILE HEALTH CLINIC I |
| 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 060000428) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-09-12 |