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 |