| NPI | 1275172579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMINE BLACKMAN Co Owner/Director 909-469-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |