| NPI | 1619661717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMON CANCINO Chief Executive Officer 831-688-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |