| NPI | 1003900101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH UDALL Director Of Patient Accounts 415-798-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000491) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-01-06 |