| NPI | 1255273868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ELIZABETH KIRCHNER Pei Specialist 619-210-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-04-06 |