NPI | 1053663260 |
---|---|
Entity Type | Organization |
Authorized Contact | CURTIS JENKINS CEO 310-629-5929 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 198016591) |
Additional Taxonomies | 251B00000X Case Management (Licence: CA 198016590) |
251C00000X Day Training, Developmentally Disabled Services (Licence: CA 198016590) | |
251X00000X (Licence: CA 198016590) | |
253Z00000X In Home Supportive Care (Licence: CA 198016591) | |
Enumeration Date | 2012-10-11 |
Last Update Date | 2012-10-11 |