| NPI | 1285046847 |
|---|---|
| Other Name | EAST VALLEY COMMUNITY HEALTH CENTER, INC.-INTERCOMMUNITY CAMPUS |
| Entity Type | Organization |
| Authorized Contact | ALICIA MARDINI Chief Exec. Officer 626-919-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000806) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-02-11 |