| NPI | 1972005759 |
|---|---|
| Doing Business As | FCHC MOMENTUM - NORTH WHITE CENTER |
| Entity Type | Organization |
| Authorized Contact | SALVADOR CHAVARIN CEO 408-729-4290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-08 |