| NPI | 1417012329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H. KIRKPATRICK Chief Executive Officer 209-373-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000507) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-09-07 |