NPI | 1013593912 |
---|---|
Doing Business As | MISSION BERNAL ADULT CLINIC |
Entity Type | Organization |
Authorized Contact | BRENDA STOREY CEO 415-552-1013 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2021-03-22 |