| Organization Name: | DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES |
| NPI Number: | 1740471028 |
| 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: | 6717357101 |
| Fax Number: | 6717345910 |
| 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: | NP0065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GU |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |