| NPI | 1164671749 |
|---|---|
| Doing Business As | COMMUNITY CIRCLE CENTRAL |
| Entity Type | Organization |
| Authorized Contact | RICARDO ROMAN CFO 619-515-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 090000113) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2024-08-28 |