| NPI | 1407000896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRIG MIKAELIAN Executive Director 510-206-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2012-04-26 |