| NPI | 1700265378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA VOS Owner 949-294-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |