NPI | 1003046566 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA STONE Administrator 909-910-9604 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 360911227) |
Enumeration Date | 2009-07-19 |
Last Update Date | 2009-07-29 |