# AMDOR COUNTY TCM PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093998221
- **Authorized official:** LOUIS BOITANO (BOARD OF SUPERVISOR-CHAIRMAN)
- **Authorized official phone:** (209) 223-6470

## Contact information

- **Practice address:** 10877 CONDUCTOR BLVD STE 400, SUTTER CREEK, CA 95685-9688
- **Practice address phone:** (209) 223-6407
- **Mailing address:** 10877 CONDUCTOR BLVD STE 400, SUTTER CREEK, CA 95685-9688
- **Mailing address phone:** (209) 223-6407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 04/14/2008