| NPI | 1225730062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH JASSO Revenue Cycle Director 831-427-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |