| NPI | 1982763090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE STROTHER Billing And Data Manager 925-676-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |