| NPI | 1487061859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND KARL HERR Chief Medical Officer 831-901-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2022-07-21 |