NPI | 1144035254 |
---|---|
Doing Business As | CLARVIDA |
Entity Type | Organization |
Authorized Contact | TRACY GINTER Director Of State Operations 657-465-9497 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-02-07 |
Last Update Date | 2025-02-07 |