| NPI | 1477950681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN HART CFO 408-284-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 251X00000X | |
| 302R00000X Health Maintenance Organization (Licence: CA 22065) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-06-28 |