| NPI | 1861942849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GOMEZ Mha I 916-679-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |