| NPI | 1699841528 |
|---|---|
| Doing Business As | GARDNER SPECIALTY SERVICE CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CORNELL Credentialing Supervisor 408-579-6178 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-03-10 |