| 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 |