| NPI | 1144358748 |
|---|---|
| Doing Business As | GARDNER SOUTH COUNTY |
| Entity Type | Organization |
| Authorized Contact | OFELIA RUIZ Director 408-935-3971 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA FHC707872F) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-05-04 |