| NPI | 1366805004 |
|---|---|
| Other Name | IN HOME OUTREACH TEAM |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-03-03 |