| NPI | 1043243181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SLAUSON Staff Personnel Manager 916-734-4208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital Children |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |