| NPI | 1699476234 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHERRY NICOLE BOWDEN Recovery Specialist 661-376-8103  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Enumeration Date | 2023-03-10 | 
| Last Update Date | 2023-08-02 |