NPI | 1013935923 |
---|---|
Doing Business As | SAC ARROWHEAD |
Entity Type | Organization |
Authorized Contact | TASHA AMICK Director Of Billing 909-382-7180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA CMM70885F) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-12-19 |