| NPI | 1114155439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORETHA JEAN MYERS Clinical Social Worker 650-493-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NC P003597) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |