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 |