| NPI | 1225822232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L GREER CEO 619-510-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 385H00000X Respite Care |
| 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QR1100X Clinic/Center Research | |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |