| NPI | 1346055324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW N STOCKARD Project Director 562-244-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-03-04 |