NPI | 1447798061 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD E CASTLE Chief Executive Officer 805-361-8014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |