| NPI | 1942638978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BUNN MCCULLOUGH CEO 510-610-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2021-08-31 |