| NPI | 1073640918 |
|---|---|
| Doing Business As | RAVENSWOOD FAMILY HEALTH CENTER AT BELLE HAVEN |
| Entity Type | Organization |
| Authorized Contact | WAYNE YOST Chief Financial Officer 650-330-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-10-01 |