| NPI | 1003826009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GUZMAN Executive Director 707-467-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 110000210) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-08-22 |