| NPI | 1609607704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FOSTER Executive Director 559-981-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-12-13 |