| NPI | 1902799828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLAINE CEO 559-925-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |