| NPI | 1053158071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KNOX Director 510-214-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-10 |