| NPI | 1235946336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY OGBODO President 510-755-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |