| NPI | 1356665475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE WILLEFORD Chief Operating Officer 805-962-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A86185) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |