| NPI | 1679158125 |
|---|---|
| Doing Business As | HEALTHY CONNECT SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | JACK FARMER CAO 619-275-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |