| NPI | 1114144359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE COMPTON CEO 925-462-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA A0610721) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA BCP11593F) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-03-11 |