NPI | 1558314161 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACEY JO MONSON Billing Administrator 530-245-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: CA 125001555) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2020-01-17 |