| NPI | 1942424106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZETTIE D PAGE CEO 510-252-6811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000586) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-07-16 |