NPI | 1558512624 |
---|---|
Former Legal Business Name | SOUTHWEST COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | HAROLD BROCKMAN CFO 707-583-8839 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2012-11-15 |