| NPI | 1447952767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYELLEN MCDONNELL REHSE Executive Director 805-450-5714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |