NPI | 1679189229 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA BUNN MCCULLOUGH CEO 510-610-8945 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2023-02-03 |