NPI | 1386067361 |
---|---|
Entity Type | Organization |
Authorized Contact | PARDIS BOLANDIAN Supervisor 310-445-2378 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 24206) |
Enumeration Date | 2014-01-28 |
Last Update Date | 2014-01-28 |