# BROOKSIDE COMMUNITY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336321413
- **Authorized official:** LUCINDA BRANNON BAZILE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (510) 231-9810

## Contact information

- **Practice address:** 2023 VALE RD, SUITE 107, SAN PABLO, CA 94806-3834
- **Practice address phone:** (510) 231-9810
- **Mailing address:** 2023 VALE RD, SUITE 107, SAN PABLO, CA 94806-3834
- **Mailing address phone:** (510) 231-9810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 02/06/2012