| NPI | 1487192571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY MIKAELA BATTENFIELD Nurse Manager 916-624-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA CA630016612) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |