| NPI | 1184085979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAMERCEDES YEGANEH Program Director 415-579-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC32136) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA MFC32136) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |