NPI | 1396169405 |
---|---|
Other Name | CCHCS |
Entity Type | Organization |
Authorized Contact | ROBERT STEVEN THARRATT State Wide Chief, Medical Executive 916-691-9913 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
Enumeration Date | 2014-02-10 |
Last Update Date | 2016-05-04 |