| NPI | 1154720712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA URIBE CHINAS Mft Trainee 707-425-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |