| NPI | 1467105411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN JORDAN CEO 408-600-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-02-03 |