| NPI | 1033074968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN VICKREY Chief Financial & Operating Officer 209-509-4727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-12-23 |
| Last Update Date | 2025-12-23 |