| NPI | 1356374045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN ROWE-LEE SYKES Executive Director 510-652-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA c41403) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-11-09 |