Organization
GROWING OUTREACH GROWING OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CARMEN GIVENS (EXECUTIVE DIRECTOR)
(323) 237-3900
Entity
Organization
Contact information
Practice address
921 E WILLIAMS ST, BARSTOW, CA 92311-3049
(760) 262-2620
Mailing address
PO BOX 98, BARSTOW, CA 92312-0098
(323) 237-3900
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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