A joint venture between the Native American Health Center and the East Bay Asian Local Development Corporation, Seven Directions combines a full service health center with family housing to create a vibrant mixed-use project in the thriving Fruitvale neighborhood of East Oakland, three blocks from a BART station. The two-story Health Center includes a medical and dental clinic, community rooms and a ceremonial outdoor gathering space. Above the clinic, 36 affordable apartments are arranged around two linked courtyards that open to the historic Cohen-Bray house to the east. The project incorporates modern cultural artifacts, including a 4-story, steel eagle’s feather, celebrating the Native American presence in Oakland; a 2-story, ceramic story pole featuring seven North American tribal myths about life and death; and two totem poles by an artist from the Tlingit tribe of Alaska symbolizing the mythological origins of his tribe. A circular kiva in the clinic courtyard provides direct contact with the sacred earth, a critical element for Native American gatherings.