Organization
COUNTY OF TUOLUMNE
Active
Organization
COUNTY OF TUOLUMNE
Active
Other names
Targeted Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
ANN CONNOLLY (HUMAN SERVICES AGENCY DIRECTOR)
(209) 533-5719
Entity
Organization
Contact information
Practice address
20111 CEDAR RD N, SONORA, CA 95370-5939
(209) 533-7419
Mailing address
20111 CEDAR RD N, SONORA, CA 95370-5939
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70018F
—
CA
Enumeration date
12/12/2007
Last updated
11/10/2014
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