NPI | 1497783096 |
---|---|
Entity Type | Organization |
Authorized Contact | TERI A BOSTER Chief Financial Officer 530-515-1699 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA G83413) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-11-13 |