NPI | 1780829309 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE HWE Clinical Operations Manager 510-752-6194 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 61061) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2008-12-10 |