| NPI | 1245671726 |
|---|---|
| Doing Business As | HAVENSCOURT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2019-10-17 |