| NPI | 1336599570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BRUKETTA President 510-876-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 408641) |
| Additional Taxonomies | 251S00000X (Licence: CA 408641) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-09-16 |