| NPI | 1093159162 |
|---|---|
| Other Name | ASHLEIGH COOK |
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH DIANE COOK Owner 909-894-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-23 |