| NPI | 1225663644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIEMEKA C ANUNKOR CEO 626-428-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |