| NPI | 1427317981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA DELAPENA CEO 559-320-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-12-16 |