| NPI | 1609722131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUNG TIN KHONG Owner 408-806-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-06-21 |