| NPI | 1285887489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHA MORRIS Program Manager 559-559-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 762507) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 251X00000X | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2022-09-08 |