| NPI | 1427305333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELINE COULTER Program Manager 209-468-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: CA 101YM0800X) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |