| NPI | 1619390473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX E ESPARZA CFO 510-333-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 6702) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2019-08-15 |