| NPI | 1255451480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISE NORTHCUTT Manager 510-428-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: CA PSY19128) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |