NPI | 1740607456 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA GREEN Administrator 510-262-0206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 079200302) |
Enumeration Date | 2014-03-20 |
Last Update Date | 2014-03-20 |