| NPI | 1922597483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMON CANCINONO Chief Executive Officer 831-688-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-06-03 |