| NPI | 1154860534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D HEADRICK Co Director 559-707-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |