| NPI | 1952981581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN INOCELDA COO 916-333-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-02-21 |