| NPI | 1467689430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD CALLAHAN President 805-922-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A29996) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA A24996) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |