| NPI | 1730499872 |
|---|---|
| Other Name | ANTELOPE VALLEY COMMUNITY CLINIC HEALTH AND WELLNESS CENTER |
| 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 550001452) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2011-07-06 |