| NPI | 1730213794 |
|---|---|
| Doing Business As | COMMUNITY CLINIC NORTH |
| Entity Type | Organization |
| Authorized Contact | AMBER WILLIAMS Chief Executive Officer 831-278-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 4405) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-03-08 |