| NPI | 1720955487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANITRA NICOLE JACKSON Executive Director 909-255-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2025-10-18 |
| Last Update Date | 2025-10-18 |