| NPI | 1588756530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTA GUERRERO CEO 916-341-0576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000183) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-11-30 |