NPI | 1770784563 |
---|---|
Doing Business As | NEWARK HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MERRILYN PEQUIGNOT Executive Dir. Professional Revenue 510-346-1349 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA EXEMPT UNDER 12-35B) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2016-03-04 |