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 |