| NPI | 1629200613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D. GARCIA Credentialing COO Rdinator 707-449-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA G52029) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |