| NPI | 1891200820 |
|---|---|
| Other Name | JOHN GEORGE PAVILION - CRISIS STABILIZATION UNIT |
| Entity Type | Organization |
| Authorized Contact | ALEX WONG Senior Reimbursement Analyst 510-618-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |