| NPI | 1871252130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BARD Officer 650-759-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |