| NPI | 1205027869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DAVID HEBERT COO / Owner 949-951-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |