| NPI | 1770263287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMETRY ANN LINDSEY CEO/President 909-708-8148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-09-05 |