| NPI | 1609626217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PECK ENG President 530-709-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-05-30 |