NPI | 1689239014 |
---|---|
Other Name | GARDNER SPECIALTY MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | CHRISTINA CORNELL Credentialing Supervisor 408-579-6178 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |