NPI | 1770229882 |
---|---|
Doing Business As | SECOND MOBILE UNIT |
Entity Type | Organization |
Authorized Contact | VICTOR STARR President And Executive Officer 707-826-8633 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-05-11 |
Last Update Date | 2023-06-07 |