| NPI | 1225733108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A DYKEN Executive Director 209-559-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |