| NPI | 1598807190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN SMITH Agency Grant Manager 707-544-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 110000314) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-06-04 |