| NPI | 1992528624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E SORENSEN Executive Director 209-955-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |