| NPI | 1144813320 |
|---|---|
| Other Name | AHS 416 OUTREACH CENTER |
| Entity Type | Organization |
| Authorized Contact | MYCHI THI NGUYEN Chief Medical Officer 510-735-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |