| NPI | 1124078704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MAYNARD Administrative Deputy Director 916-651-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA HPE47182) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-10-19 |