| NPI | 1497094858 |
|---|---|
| Doing Business As | TOM WADDELL HEALTH CENTER-PRIMARY CARE#2 |
| Doing Business As | TOM WADDELL URBAN CARE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN ISTVAN Director Of PFS 415-759-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 385H00000X Respite Care | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2022-09-22 |