NPI | 1225378532 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN M STARK President 925-945-1474 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA SP6948) |
Enumeration Date | 2013-02-22 |
Last Update Date | 2014-08-05 |