# COLLABRACARE INC.

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

## Provider details

- **NPI number:** 1689453896
- **Authorized official:** YADENITZA GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (562) 213-5226

## Contact information

- **Practice address:** 12110 SLAUSON AVE STE 15, SANTA FE SPRINGS, CA 90670-8655
- **Practice address phone:** (323) 524-9348
- **Practice address fax:** (323) 784-2991
- **Mailing address:** 12110 SLAUSON AVE STE 15, SANTA FE SPRINGS, CA 90670-8655
- **Mailing address phone:** (323) 524-9348
- **Mailing address fax:** (323) 784-2991

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2023
- **Last updated:** 08/06/2024