| NPI | 1811257157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CLINE Medical Director 707-449-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 786729) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |