| NPI | 1053942250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLAINE CEO 559-925-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-07-09 |