| NPI | 1720484868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY JEAN CASSARETTO Owner/Director 209-549-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 1A-50-21) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |