NPI | 1346776499 |
---|---|
Other Name | SOS CENTER FOR HEALTH AND INNOVATION |
Entity Type | Organization |
Authorized Contact | CHRISTY WARD CEO 949-536-3927 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-07-29 |