| NPI | 1114807617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BEATY Executive Director 707-637-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |