| NPI | 1104671247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON POST Administrative Services Officer 707-565-1119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-24 |