| NPI | 1659793602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MORDEN Medical Director 707-826-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health (Licence: CA 462056) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |