| NPI | 1659710838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KNAUS Program Director 707-575-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA MFC 25647) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA MFC 25647) |
| 251S00000X (Licence: CA MFC 25647) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |