| NPI | 1639492390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE R YOUNG Executive Director 916-646-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-04-30 |