| NPI | 1811279763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CUMMINGS CEO 661-466-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2022-02-23 |