| NPI | 1801001730 |
|---|---|
| Doing Business As | LIVING QUEST PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |