| NPI | 1326183054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN CLARK Executive Director 707-443-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 110000327) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-07-29 |