NPI | 1578766085 |
---|---|
Former Legal Business Name | SOUTHWEST COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GABRIELA BERNAL-LEROI Chief Executive Officer 707-303-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 1386712065) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2022-12-09 |