| NPI | 1154503399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SHIPP Chief Executive Officer 415-475-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2025-06-27 |