| NPI | 1881057115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SHIPP CEO 415-475-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2026-02-19 |