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 |