| NPI | 1194863969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE SHANETTE CHADWICK Ctii 951-955-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA LCSW72861) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |