| NPI | 1477896173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRIS CLAY Program Director 209-256-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |