| NPI | 1295117109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE ANSELMO JUANI Administrator 510-209-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 015601286) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |