NPI | 1003340738 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE GARCIA CEO 510-535-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2022-07-21 |