| NPI | 1588804819 |
|---|---|
| Other Name | MABIE SAN JUAN ROAD HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY CASILLAS Chief Executive Officer 831-636-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2024-01-11 |