NPI | 1497186886 |
---|---|
Other Name | PROJECT 90 - FRIENDSHIP HALL |
Entity Type | Organization |
Authorized Contact | JENNIFER LYNN STEARNS Director Of Quality 408-841-4107 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 410005VN) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2025-03-20 |