| NPI | 1447854427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUNEET LEEKHA Chief Operating Officer 888-924-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |