| NPI | 1013339605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH H. DONNELLY Director 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |