| NPI | 1144300476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHA IRENE BENAVIDEZ Patient Financial Services Director 760-482-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-02-07 |