| NPI | 1811884729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ELIZABETH PIERCE Bhrs Assistant Director 209-605-3068 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |