NPI | 1659415131 |
---|---|
Other Name | ST. VINCENT DE PAUL VILLAGE FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MELINDA MALLIE Chief Financial Officer 619-446-2194 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA 09000297) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2023-02-22 |