NPI | 1497045678 |
---|---|
Doing Business As | LONGWOOD |
Entity Type | Organization |
Authorized Contact | SCOTT OSBORN Chief Operating Officer 510-520-0943 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2011-04-09 |
Last Update Date | 2024-04-10 |