| NPI | 1558806125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE GARCIA CEO 435-755-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2022-06-01 |