| NPI | 1073063897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BOSSERMAN President 916-936-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2022-08-18 |