Organization
EARLY SATES ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY CARROLL (PROGRAM DIRECTOR)
(310) 382-4852
Entity
Organization
Contact information
Practice address
11972 WOOD RANCH RD, GRANADA HILLS, CA 91344-2150
(310) 382-4852
Mailing address
11972 WOOD RANCH RD, GRANADA HILLS, CA 91344-2150
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
0002584492-0002-8
CA
252Y00000X
Early Intervention Provider Agency
Primary
0002584492-0001-0
CA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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