NPI | 1083174684 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA SCHWAB-GALINDO Chief Executive Officer 510-460-3855 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2019-03-21 |
Last Update Date | 2021-08-04 |