NPI | 1043664766 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY L. HYDASH President & CEO 559-737-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2022-10-27 |