NPI | 1235274044 |
---|---|
Doing Business As | GARDNER SPECIAL |
Entity Type | Organization |
Authorized Contact | REYMUNDO C ESPINOZA CEO 408-200-2291 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-02-20 |
Last Update Date | 2022-03-10 |