NPI | 1013388354 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZA ABUAN DIXON President 619-385-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 017905-1) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2015-10-13 |