| NPI | 1467718791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARA MARSELIAN CEO 619-584-1612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |