| NPI | 1538551056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL LEE LEON Chief Exective Officer 805-907-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 1-14-15578) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CA 1-14-15578) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |