| 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 |