| NPI | 1114167855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MILLER Superintendent Of Scusd 916-643-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 12248) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |