| NPI | 1972362952 |
|---|---|
| Doing Business As | SRJC PETALUMA CAMPUS STUDENT HEALTH SERVICES CLINIC |
| Doing Business As | SANTA ROSA JUNIOR COLLEGE - PETALUMA CAMPUS - STUDENT HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MOLLY JOUANEH CFO 707-559-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-04-22 |