| NPI | 1356625347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. ALEXANDER President 550-301-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA NP7572) |
| Enumeration Date | 2011-10-08 |
| Last Update Date | 2011-10-08 |