| NPI | 1528554417 |
|---|---|
| Doing Business As | CLOVER CREEK |
| Entity Type | Organization |
| Authorized Contact | GINA VYROSTEK VP Um/Compliance 925-825-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |