| NPI | 1972011096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY SMITH Program Manager 925-689-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-01-29 |