| NPI | 1467171314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY WEBER Chief Executive Officer 209-385-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-09-21 |