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 four-story steel eagle's feather, celebrating the Native American presence in Oakland, a two-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 tribe’s mythological origins. A circular kiva in the clinic courtyard provides direct contact with the sacred earth, a critical element for Native American gatherings.