NPI | 1720225360 |
---|---|
Doing Business As | CLARVIDA |
Entity Type | Organization |
Authorized Contact | TRACY GINTER Director Of State Operations 657-465-9497 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2009-01-20 |
Last Update Date | 2024-06-03 |