| NPI | 1598302655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WEST Executive Director 209-724-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-12-27 |