NPI | 1578604369 |
---|---|
Entity Type | Organization |
Authorized Contact | MAXIMILIANO CUEVAS CEO 831-757-8689 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000716) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2024-06-06 |