| NPI | 1033553425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER STEFANO NELLA Clinical Dietitian Ii 707-367-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 1034086) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 1034086) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |