NPI | 1588422604 |
---|---|
Doing Business As | MARY ISAAK CENTER CLINIC |
Doing Business As | MARY ISAAK HOMELESS SHELTER CLINIC |
Entity Type | Organization |
Authorized Contact | MOLLY JOUANEH CFO 707-559-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-03-12 |
Last Update Date | 2024-04-22 |