NPI | 1558554519 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY HYDASH President , CEO 559-737-4731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000493) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-08-23 |
Last Update Date | 2022-10-27 |