NPI | 1144051244 |
---|---|
Doing Business As | SDAIHC MOBILE UNIT 3 |
Entity Type | Organization |
Authorized Contact | TAMI BEREKI CFO 909-921-3808 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-08-10 |
Last Update Date | 2024-08-10 |