NPI | 1295184117 |
---|---|
Doing Business As | LAS PALMAS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LESLIE TAMIKO MCGOWAN Chief Executive Officer 209-394-7913 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2016-06-10 |