| NPI | 1235294893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA N MOZIA CEO 3105-395-5722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CA G1112004) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: CA 514131) |
| 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: CA 514131) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 514131) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 95090658) | |
| 163WG0000X Registered Nurse General Practice (Licence: CA 11282) | |
| 364SC2300X Clinical Nurse Specialist Chronic Care (Licence: CA 11282) | |
| 101YM0800X Counselor Mental Health (Licence: CA 514131) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 11282) | |
| 163WC0400X Registered Nurse Case Management (Licence: CA 514131) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-12-19 |