| NPI | 1639219298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY J. HEWITT CEO/CFO 707-443-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G86644) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-09-30 |