| NPI | 1194778803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY J MONSON Billing Administrator 530-245-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 455001809) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-01-17 |