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