| NPI | 1407962459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MATHER CEO 707-263-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA 110000094) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-10-16 |