| NPI | 1255154126 |
|---|---|
| Doing Business As | MEDICAL CLINIC AT REENTRY RESOURCE CENTER SAN JOSE |
| Entity Type | Organization |
| Authorized Contact | PAUL E LORENZ Chief Executive Officer, Scvh 408-885-4010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-12-13 |