Organization
AMDOR COUNTY TCM PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS BOITANO (BOARD OF SUPERVISOR-CHAIRMAN)
(209) 223-6470
Entity
Organization
Contact information
Practice address
10877 CONDUCTOR BLVD STE 400, SUTTER CREEK, CA 95685-9688
(209) 223-6407
Mailing address
10877 CONDUCTOR BLVD STE 400, SUTTER CREEK, CA 95685-9688
(209) 223-6407
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
04/14/2008
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