Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prison Health |
261QP2400X |
| NPI # | 1407390586 |
||||
| LBN Legal business name | DEPARTMENT OF JUSTICE | ||||
| Authorized official | GEORGE SANTINI - (CLINICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/08/2016 | ||||
| Last updated | 12/08/2016 - About 10 years ago | ||||
| Identifiers |
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