| NPI | 1841340155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KENNETH CHASE Director Of Finance 209-461-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: CA 030000024) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |