| NPI | 1538431432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY GEOFFREY WATSON Medical Director 510-444-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA C41403) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-09 |