| NPI | 1346410230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATTHEW MAHON Partner/Administrator 707-964-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health (Licence: CA 553843) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-16 |