| NPI | 1427563261 |
|---|---|
| Other Name | HEADWATERS MEDICAL THERAPY UNIT |
| Entity Type | Organization |
| Authorized Contact | RUBY ZHANG Department Analyst 707-565-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2023-05-23 |