NPI | 1184330128 |
---|---|
Other Name | SANE |
Entity Type | Organization |
Authorized Contact | PHILLIP JARED SUMMERS Medical Director 209-559-2281 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-02-18 |