| NPI | 1316429558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA HARDY Executive Chief Officer 707-254-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2019-11-15 |