| NPI | 1013593912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATILDA SALAKO CFO 415-552-1013 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-08-20 |