NPI | 1164786869 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL CALVIN WINDHAM CEO 707-497-6342 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G057950) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2012-12-06 |