| NPI | 1184405748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE B GASTON Mental Health Specialist Ii 209-221-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-01-04 |