| NPI | 1083783757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRESHA RENTERIA Executive Director 707-964-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-06-09 |