NPI | 1558584094 |
---|---|
Entity Type | Organization |
Authorized Contact | ZETTIE D PAGE CEO 510-252-6811 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000481) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-07-16 |