| NPI | 1164745840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DUVALL Managing Director 209-558-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2025-09-03 |