| NPI | 1790033397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONITA WHITE-LEE Medical Staff Specialist 415-221-4810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: CA PSY25054) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |