| NPI | 1285123620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA ISABEL NECESITO Owner 951-275-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2020-03-05 |