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Organization
CONNECTCA
Active
Organization
CONNECTCA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE VERNON (PROGRAM DIRECTOR)
(951) 900-3812
Entity
Organization
Contact information
Practice address
11840 MAGNOLIA AVE STE G, RIVERSIDE, CA 92503-4900
(951) 900-3812
Mailing address
11840 MAGNOLIA AVE STE G, RIVERSIDE, CA 92503-4900
(951) 900-3812
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
04/25/2025
Last updated
05/21/2025
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