| NPI | 1588422604 | 
|---|---|
| Doing Business As | MARY ISAAK CENTER CLINIC | 
| Doing Business As | MARY ISAAK HOMELESS SHELTER CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | MOLLY JOUANEH CFO 707-559-7500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2024-03-12 | 
| Last Update Date | 2024-04-22 |