| NPI | 1508035650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M TALBOT CEO 707-939-6075 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000251) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-29 |