NPI | 1316604960 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE BUCHEGER Billing Manager 657-304-0103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 103K00000X Behavior Analyst |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
251S00000X | |
Enumeration Date | 2021-11-18 |
Last Update Date | 2022-01-25 |