| NPI | 1902881162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WILSON Assistant Professor 916-734-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: CA G57949) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-22 |