| NPI | 1023440336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE VIRGINIA BENTON CEO 310-743-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |