| NPI | 1477807659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LEE ROTH President / Owner 408-761-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 549631) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |