| NPI | 1609179431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY LOU JONES Recovery Specialist Ii 661-868-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |