| NPI | 1558749440 |
|---|---|
| Other Name | AHS HOMELESS MOBILE CLINIC #1 |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE JENSEN VP Of Revenue Cycle 510-618-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2016-05-27 |