| NPI | 1104589365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL HATTANGADI CEO 858-216-8837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-11-17 |