| NPI | 1508131343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE O. ROHOVIT Nnp Supervisor 650-497-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA 1073564571) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |