NPI | 1023445780 |
---|---|
Doing Business As | HAWTHORNE ELEMENTARY SCHOOL-BASED CLINIC |
Entity Type | Organization |
Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
Enumeration Date | 2013-09-26 |
Last Update Date | 2019-10-17 |