| NPI | 1932169240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. BLAINE CEO/Administrator 559-925-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 040000433) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251X00000X | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-04-23 |