| NPI | 1477978443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CARROLL Program Director 310-382-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 0002584492-0001-0) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA 0002584492-0002-8) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |