| NPI | 1629269618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BALISTRERI Chief Executive Officer 831-728-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000469) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-02-05 |