| NPI | 1528703832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM VU Executive Director 619-972-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2022-05-02 |