| NPI | 1336866094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA NICOLE DIZON ARGUELLES CEO 323-401-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |