| NPI | 1932484375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG MOES Executive Director 805-915-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA psy16222) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA psy16222) |
| 252Y00000X Early Intervention Provider Agency (Licence: CA psy16222) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-11-07 |