| NPI | 1336214642 |
|---|---|
| Doing Business As | SHADELANDS MEDICAL THERAPY UNIT |
| Entity Type | Organization |
| Authorized Contact | PATRICK M. GODLEY COO CFO 925-957-5405 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-09-22 |