| NPI | 1285883025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABRICE ALEXANDER KUELLING Visiting Assistant Professor 707-315-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA F5487) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |