| NPI | 1881697381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO PADILLA Executive Director 707-263-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 110000289) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2011-11-16 |