| NPI | 1508629171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA MORALES Management Analyst 831-796-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |