| NPI | 1245043165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MACISAAC Chief Financial Officer 619-306-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |