| NPI | 1619601143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIXTLICOATL R GONZALEZ Data System Manager 916-900-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |