| NPI | 1023766185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIXTLICOATL R GONZALEZ Data Systems Manager 916-900-0614 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-04-05 |