| NPI | 1285128595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCRESHA M RENTERIA Executive Director 707-964-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |