| NPI | 1275762783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEELA LYNN COUTU Programs Director 714-580-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-08-05 |