| NPI | 1316787377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDWIN WEAVER Executive Director 805-346-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |