NPI | 1952048514 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT D NEELEY Owner/Authorized Official 707-263-1328 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-07-18 |