| NPI | 1760226260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEVAN BENNETT Executive Director 909-685-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-07-11 |