Organization
PETALUMA HEALTH CENTER, INC
Active
Other names
San Antonio High School Health Clinic, San Antonio High School-Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY JOUANEH (CFO)
(707) 559-7500
Entity
Organization
Contact information
Practice address
500 VALLEJO ST, PETALUMA, CA 94952-3364
(707) 559-7500
Mailing address
1455 N MCDOWELL BLVD STE D, PETALUMA, CA 94954-6503
(707) 559-7500
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
04/22/2024
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