| NPI | 1134838352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN FAVINI Principal 707-207-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-08-19 |