| NPI | 1699906230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J SEABORN Administrator 909-620-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA c26499) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-07-21 |