| NPI | 1982356838 |
|---|---|
| Other Name | PACIFIC CLINICS MORONGO BASIN CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | KATHRYN MCCARTHY Chief Executive Officer / President 408-379-3790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2024-05-15 |