| NPI | 1245043736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN COMER Owner 951-230-6651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |