| NPI | 1801430418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CROSS Health System Administrator 805-735-2771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |