| NPI | 1205667524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM KENSINGER Executive Director Of Operations 909-463-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |