| NPI | 1528709466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE PANCHO BAYNADO Facility Monitor 559-530-4035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |