| NPI | 1043074388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERELL HOWZE Director 916-720-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 405300000X Prevention Professional | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |