| NPI | 1134406408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M VELASQUEZ Executive Director 310-324-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: 190467AN) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |