NPI | 1386837227 |
---|---|
Doing Business As | SOBOBA INDIAN HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | WILLIAM THOMSEN CEO 909-864-1097 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2023-04-17 |