| NPI | 1740175264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE HALVORSON Deputy Director Administration 209-257-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |