| NPI | 1922700285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESSE LEWIS Executive Director 951-514-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |