| NPI | 1225363757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L HARRIS Director 707-646-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 364689) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |