| NPI | 1770319097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL PETERSEN Chief Financial Officer 760-736-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |