| NPI | 1861364440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERROL FOWLKES Director Of Managed Care 559-737-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |