| NPI | 1457481822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA R BORG Center Director 805-373-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 050000558) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |