| NPI | 1356511919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W DAVIS President 209-966-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 14584) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |