| NPI | 1568726123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESTON LANGE Social Worker 209-669-2583 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |