| NPI | 1407157605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL K JOHNSON CEO 707-939-6070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000251) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2014-07-03 |