NPI | 1790105559 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACIELA SOTO PEREZ Chief Executive Officer 559-685-4601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2024-07-08 |