| NPI | 1023702784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WATKINS VP Of Finance 408-355-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-07-28 |