| NPI | 1407039985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN PAROLINI Nursing Supervisor 209-667-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA VN174092) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |