| NPI | 1376798413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE TOMA Chief Executive Officer 415-292-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001294) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2016-10-13 |