| NPI | 1922450998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHARA SWEENEY Director 707-843-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA AC 14291) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |