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 |
Enumeration Date | 2018-01-11 |
Last Update Date | 2020-01-29 |