| NPI | 1467886911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD LORENZO Medical Billing Specialist 510-500-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2018-02-26 |