| NPI | 1861109274 |
|---|---|
| Doing Business As | SACRAMENTO COMMUNITY CLINIC - NTSA IAB |
| Entity Type | Organization |
| Authorized Contact | ALBERT MOUA Chief Operations Officer 916-642-1867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |