| NPI | 1326431636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KANAUS Director Of Insurance 707-495-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |