| NPI | 1114209673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLIN MALCAY Chief Executive Officer 707-521-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: 825536) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |