| NPI | 1730169756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BALISTRERI CFO 831-728-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000162) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-02-03 |