| NPI | 1689884504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MCCORMICK WITKOFSKY Director Of Health Services 909-820-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA CH02077) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |