NPI | 1780631820 |
---|---|
Doing Business As | CERES CARE CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-05-27 |
Last Update Date | 2010-05-06 |