| NPI | 1841056322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGAEZI SONYA CEO/Director 951-440-4083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-09-26 |