NPI | 1093974065 |
---|---|
Other Name | ELICA HEALTH CENTERS - MIDTOWN MEDICAL CENTERS |
Entity Type | Organization |
Authorized Contact | TATYANA BAK CEO 916-569-8484 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2008-06-05 |
Last Update Date | 2022-02-18 |