| NPI | 1326427857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BUNN MCCULLOUGH CEO/Executive Director 510-610-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-05-17 |