| NPI | 1932471497 |
|---|---|
| Other Name | PANACEA SERVICES, INC. AT FERN BACON MIDDLE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | TRISHA SEASTROM Executive Director 916-854-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |