| NPI | 1346774759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH PARIS Co Owner 831-655-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA OT14556) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |