| NPI | 1063430916 |
|---|---|
| Doing Business As | DEL PUERTO HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KARIN HENNINGS CEO Administrator 209-892-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-09-22 |