| NPI | 1538550561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DIOGO SIMPSON CEO 510-688-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 1-12-12171) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA 1-21--12171) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |