NPI | 1033574462 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD KEVER Quality Assurance 805-540-6532 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251S00000X |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2015-12-30 |
Last Update Date | 2024-01-12 |