| NPI | 1124907787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAY MARIA RICO Executive Director 209-524-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-09-09 |