| NPI | 1790967453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRK MARTIN RUTHRAUFF Associate Director 559-278-6717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: N/A) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |