| NPI | 1134388093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LAUREN COOK Dietitian 831-763-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 1447327804) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |