NPI | 1023219821 |
---|---|
Doing Business As | HAYWARD WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | KIM MIRANDA CFO 510-618-2147 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA EXEMPT UNDER 12-35B) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-05-30 |
Last Update Date | 2022-04-27 |