| NPI | 1366519431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER Executive Director 209-754-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 550000678) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 030000438) |
| 261Q00000X Clinic/Center (Licence: CA 030000704) | |
| 261Q00000X Clinic/Center (Licence: CA 040000459) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-07-26 |