NPI | 1811926058 |
---|---|
Other Name | PPSBVSLO |
Entity Type | Organization |
Authorized Contact | JENNA TOSH President/CEO 805-963-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2006-07-01 |
Last Update Date | 2023-09-30 |