| NPI | 1952467268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H. KIRKPARICK CEO 209-373-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-03-07 |