NPI | 1093902934 |
---|---|
Doing Business As | CLARVIDA |
Doing Business As | CATALYST |
Entity Type | Organization |
Authorized Contact | TRACY GINTER Director Of State Operations 714-503-6880 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 305S00000X Point of Service |
Enumeration Date | 2007-09-25 |
Last Update Date | 2024-06-03 |