| NPI | 1194032656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSON ELLWOOD Supervisor 510-565-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 252y00000x) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |