NPI | 1689620478 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE KLEINHEINZ CEO 408-284-2288 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA 070000696) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2018-04-11 |