NPI | 1891705596 |
---|---|
Entity Type | Organization |
Authorized Contact | CHUCK WIESEN CEO 916-441-2811 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000534) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2014-04-24 |