| NPI | 1417370032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIA T BYRNES Executive Director/Cmo 415-457-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000522) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2016-07-29 |