NPI | 1003250093 |
---|---|
Entity Type | Organization |
Authorized Contact | BECKY CARTER Executive Director 714-247-8044 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2019-11-26 |