| NPI | 1386298008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAR MASRI Hr/Financial Coordinator 909-241-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2022-01-25 |