| NPI | 1023824802 |
|---|---|
| Former Legal Business Name | LIVE AGAIN FRESNO |
| Entity Type | Organization |
| Authorized Contact | JANESSA C WILLIAMS Program Manager 913-406-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |