| NPI | 1053662353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL COLLINS Dr./Owner 707-566-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC17656) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |