| NPI | 1083185136 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | TRACY GINTER Director Of State Operations 657-465-9497 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-06-03 |