| NPI | 1124426580 |
|---|---|
| Doing Business As | PROYOUTH |
| Entity Type | Organization |
| Authorized Contact | SUNNIE L SKILES Md 916-626-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA g66133) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2018-08-29 |