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 |