Organization Name: | DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES |
NPI Number: | 1659562932 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETERJOHN D CAMACHO (DIRECTOR) |
Mailing Address: | 520 W Santa Monica Ave Dededo |
State: | GU US |
Postal Code: | 969295286 |
Phone Number: | 6716357492 |
Fax Number: | 6716357493 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 08/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | DO0028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |