NPI | 1902547789 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRY L HYDASH President & CEO 559-737-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-02-28 |