| NPI | 1235803941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN HART COO/CFO 408-284-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |