| NPI | 1366135550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANKENY Clinical Director/Behavior Analyst 858-692-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |