| NPI | 1164880902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE REYNOLDS Office Manager 310-217-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |