| NPI | 1023196011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MCGREW Chief Financial Officer 650-573-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-10-01 |