NPI | 1982413274 |
---|---|
Other Name | MCHC HEALTH CENTERS - DORA STREET SUITE C |
Entity Type | Organization |
Authorized Contact | LAVONNA MARIE SCHROCK Director Of Finance 707-468-2219 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-01-02 |