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 |