| NPI | 1053735985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CARLSON President 831-676-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 12460) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-13 |