| 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 |