| NPI | 1891741963 |
|---|---|
| Doing Business As | BROOKSIDE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |