| NPI | 1043488174 |
|---|---|
| Other Name | PANACEA, INC. AT SUCCESS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | TRISHA SEASTROM Director 916-854-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |