| NPI | 1225161672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL BOLIN Social Worker 510-428-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: CA LCS17542) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-08-20 |