NPI | 1689158941 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY HYDASH President & CEO 559-737-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-09-21 |
Last Update Date | 2022-10-31 |