NPI | 1558603555 |
---|---|
Entity Type | Organization |
Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Executive Officer 916-550-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2017-08-16 |