| NPI | 1639193014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SYLVESTRE Executive Director 510-834-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-09-06 |