| NPI | 1962241539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON CRABTREE Executive Director 661-558-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2025-07-17 |