| NPI | 1629583018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG GREENBERG CEO 530-355-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A86727) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-03-17 |