| NPI | 1740041581 |
|---|---|
| Doing Business As | CHSI MOBILE WELLNESS CLINIC #1 |
| Entity Type | Organization |
| Authorized Contact | LORI HOLEMAN CEO 951-571-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-19 |