| NPI | 1053657569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JANAY DOYLE Director Of Programs 510-569-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 140000330) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000477) |
| 261QC1500X Clinic/Center, Community Health (Licence: CA 220000395) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |