| NPI | 1558250340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRINA WALLACE Executive Director 909-534-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2025-06-30 |