| NPI | 1083164784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCY MACIEL Human Resources 831-728-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 481044) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |