NPI | 1326824129 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA BAXTER Manager 408-667-1715 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-10-18 |