NPI | 1457730459 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA V DIRAN Owner/Clinical Director 310-980-3643 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 1-12-10272) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2015-05-22 |