| NPI | 1043593551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM MOTSIFF CFO 408-795-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NV pending) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-07-25 |