| NPI | 1205465747 |
|---|---|
| Doing Business As | HEALING GROVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CHERYL JUNE HO THIEU Medical Director 408-398-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |