| NPI | 1437837267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR 'TORY' STARR President/Executive Officer 707-826-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |