| NPI | 1922528694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE TOMA Chief Executive Officer 415-292-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 550001294) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: CA 550001294) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001294) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 550001294) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA 550001294) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |