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 |