| NPI | 1790788107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH UDALL Director Of Patient Accounts 415-798-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 1100491) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-01-28 |