| NPI | 1497209217 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AN VUONG Administrative Assistant 415-551-0975  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 16087)  | 
| Enumeration Date | 2016-08-10 | 
| Last Update Date | 2016-08-10 |