| NPI | 1700241346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHID OHANESIAN Pharmacist 1 652-651-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 47447) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |