| NPI | 1316291438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN GIBSON Managing Member/Owner 916-761-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: CA 347002410) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |