NPI | 1295044832 |
---|---|
Doing Business As | SACRAMENTO COMMUNITY CLINIC - ASSEMBLY COURT |
Entity Type | Organization |
Authorized Contact | JERRY T BLIATOUT CEO 916-428-3788 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2011-04-26 |