NPI | 1396029435 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MADISON SPURLOCK President 707-223-1682 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA ca28858) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |