| NPI | 1679374433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH KOTKO Program Coordinator 530-749-4877 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |