| NPI | 1700448636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLAINE CEO 559-386-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-07-10 |