| NPI | 1396022000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA COHEN CRETCHER Intern & Trainee Program Coordinato 408-792-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |