| NPI | 1962037887 |
|---|---|
| Doing Business As | CALIFORNIA INSTITUTE FOR MEN PHCY |
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN THARRATT Statewide Chief Medical Executive 916-691-9913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |