NPI | 1720796907 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ALLEN CONWAY CEO 209-225-2905 |
Organization Subpart ? | No |
Primary Taxonomy | 177F00000X Lodging |
Additional Taxonomies | 251B00000X Case Management |
282J00000X Religious Nonmedical Health Care Institution | |
Enumeration Date | 2022-11-07 |
Last Update Date | 2022-11-07 |