NPI | 1972844272 |
---|---|
Other Name | EVCHC - PROTOTYPES |
Entity Type | Organization |
Authorized Contact | ALICIA MARDINI Chief Executive Officer 626-919-4333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000210) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |