| NPI | 1750190211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH ROBERSON Member 916-710-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2026-04-20 |