| NPI | 1417707381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY THURMON Employee Relations Contract Manager 408-289-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-27 |