| NPI | 1134503709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A. MARILLA President 951-897-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 1-09-5791) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: CO 1-09-5791) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |