| NPI | 1407109622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK CLARK Chief Financial Officer 510-981-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |