| NPI | 1629616727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH D HALE CEO 831-818-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2020-03-24 |