| NPI | 1821349697 |
|---|---|
| Other Name | PANACEA SERVICES, INC. AT COMMUNITY COLLABORATIVE CHARTER SCHOOL |
| Entity Type | Organization |
| Authorized Contact | TRISHA SEASTROM Executive Director 916-854-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |