| NPI | 1770669715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL K JOHNSON CEO 707-939-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000251) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-07-03 |