| NPI | 1649099151 |
|---|---|
| Doing Business As | MODESTO HEALTH CENTER - FLORIDA AVE |
| Entity Type | Organization |
| Authorized Contact | LESLIE ABASTA-CUMMINGS CEO 209-850-3542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |