| NPI | 1184267825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY STITH Chief Administrative Officer 760-323-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-07-10 |