| NPI | 1376349076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SHALLAT Chief Executive Officer 510-599-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-02-22 |