| NPI | 1720278583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE REDDEL President 510-558-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA DC 24834) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |