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 |