| NPI | 1215009212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH J TARRANT Provider, Co Owner 916-371-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 208000000x) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-09-17 |