NPI | 1649060526 |
---|---|
Doing Business As | GARDNER ALUM ROCK CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTINA CORNELL Creentialing 408-579-6178 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-05-12 |