| NPI | 1407189525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE AKERS Coordinator Student Health Services 909-384-4495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA 280062) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA 280062) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |