NPI | 1215485388 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA WARD Cmo 707-547-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA NP95004562) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2016-09-16 |