| NPI | 1346011251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FERINGA Officer 909-821-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |