NPI | 1699433722 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA M GEORGE COO 661-388-1543 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-12-06 |
Last Update Date | 2021-12-06 |