| NPI | 1104603620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NICOLE HOWLAND Chief Operations Officer 559-664-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |