NPI | 1932624962 |
---|---|
Doing Business As | SACRAMENTO COMMUNITY CLINIC - B. TERI BURNS CLINIC |
Entity Type | Organization |
Authorized Contact | JERRY BLIATOUT CEO 916-642-1867 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-08-10 |
Last Update Date | 2023-05-04 |