| NPI | 1760353155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL MARIN Cal Aim Transformation Manager 209-652-3805 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-11-06 |