| NPI | 1790341667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY LYNN HYDASH President & CEO 559-737-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2022-10-31 |