NPI | 1841417300 |
---|---|
Doing Business As | MORONGO INDIAN HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | LINWOOD J. KILLAM CEO 951-849-4761 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |