| NPI | 1164643862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDON WAYNE SCOTT Director Of Operations 408-445-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000118) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 070000118) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-06-10 |