| NPI | 1760293351 |
|---|---|
| Other Name | ELICA HEALTH CENTERS - MIDTOWN FIRST FLOOR |
| Entity Type | Organization |
| Authorized Contact | TATYANA BAK CEO 916-569-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-21 |