| NPI | 1215561808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MACISAAC CFO 760-767-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-10-17 |