NPI | 1780195255 |
---|---|
Other Name | DUTTON CAMPUS |
Entity Type | Organization |
Authorized Contact | GABRIELA BERNAL-LEROI Director Of Revenue Cycle 707-303-3600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2022-12-09 |