| NPI | 1164808622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKUB RICHARD PACZKOWSKI CEO 707-269-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |