| NPI | 1700748175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA AMICK Director Of Billing 909-382-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-25 |