| NPI | 1548578271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MOORE Executive Director 559-591-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA RHM53817F) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |