| NPI | 1649908872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NOGUERA CEO 209-636-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |