| NPI | 1801041066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIL METELKO Office Manager 559-673-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA G77817) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2009-01-22 |