NPI | 1700393956 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BLAINE CEO 559-925-8800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251X00000X | |
Enumeration Date | 2018-01-09 |
Last Update Date | 2024-07-10 |