| NPI | 1124101068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA COVELLO Executive Director 510-642-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA N/A) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |