| NPI | 1336214642 |
|---|---|
| Doing Business As | SHADELANDS MEDICAL THERAPY UNIT |
| Entity Type | Organization |
| Authorized Contact | DAVID D. LEE Deputy CFO 925-957-5445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-10-14 |