| NPI | 1528105558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L DUERKSEN Agency Director 559-624-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-05-06 |