| NPI | 1437202124 |
|---|---|
| Doing Business As | MORONGO INDIAN HEALTH |
| 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 | 2007-01-18 |
| Last Update Date | 2021-08-25 |