| NPI | 1487638490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASA M SATARIANO CEO 415-503-6055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-05-17 |