| NPI | 1669654760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT WILSON CEO 805-618-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA A97199) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |