| NPI | 1871045054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLAINE CFO 559-925-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2024-07-10 |