| NPI | 1184147761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SNOW Hr Manager 951-765-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-10-04 |