| NPI | 1477675049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H. KIRKPATRICK CEO 209-373-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |