| NPI | 1215300470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHRIST KAKOSIMIDI CFO 888-969-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 1-15-18014) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2021-07-16 |