NPI | 1497805790 |
---|---|
Other Name | LOGAN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ANDREA SCHWAB-GALINDO Chief Executive Officer 510-460-3855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000504StateLicens) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2021-07-06 |