| NPI | 1720769474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL CARRIZALEZ Program Director 661-322-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |