| NPI | 1508887795 |
|---|---|
| Other Name | SUMMIT EATING DISORDERS & OUTREACH |
| Entity Type | Organization |
| Authorized Contact | ANTON RAYMOND PAULSON Clinical Director 916-920-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |