| NPI | 1275781700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE BLYTHE Business Owner 707-330-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 138) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |