| NPI | 1174695241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLIFTON MEREDITH Director Of Clinical Services 707-435-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 480016AP) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |