| NPI | 1134528805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADALYN BETHANN HANSEN Case Manager 805-704-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA P0602150905) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |