| NPI | 1609313675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAHA ELROD Clinical Director 619-987-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 14102) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |