| NPI | 1851181044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORTHALIA S. NEWBERRY Owner 916-606-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |