| NPI | 1811958952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIA DELGADO VEGA Billing Manager 707-467-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-05-07 |