NPI | 1194265579 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY L HYDASH President & CEO 559-737-4700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-03-03 |
Last Update Date | 2022-10-27 |