NPI | 1457888299 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYVON MUHAMMAD Chief Executive Officer 415-339-8813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 55000861) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2018-07-11 |