| NPI | 1467827899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANUA MCGINNIS Director Of Operations 831-475-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A23472) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |