| NPI | 1770997033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RICHARDSON Chief Financial Officer 805-739-3108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-11-12 |