| NPI | 1306984315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE C NOGUERA CEO 209-373-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 0300000561) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-01-12 |