NPI | 1962845131 |
---|---|
Entity Type | Organization |
Authorized Contact | MUHAMMAD JAYVON Executive Director 415-339-8813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000861) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2016-03-04 |