| NPI | 1932562964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LAMBERT CFO 760-216-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |