| NPI | 1710266432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTIN L. HALL Executive Director 707-502-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-09-9999) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 1-09-9999) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: CA 1-09-9999) | |
| 252Y00000X Early Intervention Provider Agency (Licence: CA 1-09-9999) | |
| 253Z00000X In Home Supportive Care (Licence: CA 1-09-9999) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-01-06 |