| NPI | 1316585136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI PUMPHREY Insurance COO Rdinator 831-234-1444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |