| NPI | 1205498532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE JUSTINE WISNER President 916-668-9467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2023-12-27 |