NPI | 1750702478 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIER JOHNSON MANGINE AO D Couselor 559-582-4412 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA M1202071247) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2013-12-23 |