| NPI | 1952592354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYBILLE M WAIYAKI Chief Financial Officer 559-457-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2008-01-18 |