NPI | 1942473483 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL B WANDEL CFO 209-373-2828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-04-04 |
Last Update Date | 2008-04-04 |