| NPI | 1730470006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRLIE JARUMAY H&Ss Chief Dep Administration 707-784-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-04-10 |