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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