| NPI | 1033403316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KABAO VANG Psychiatric Staff Nurse I 209-381-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CA 758581) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2011-06-05 |