| NPI | 1497961106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINNEA J HUNTER C.E.O. 707-472-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000236) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000360) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000500) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-03-12 |