NPI | 1710124524 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY WEBER CEO 209-384-6493 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000688) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2017-02-09 |