| NPI | 1396995221 |
|---|---|
| Other Name | INTENSIVE OUTPATIENT PROG AB2726 |
| Entity Type | Organization |
| Authorized Contact | KATHRYN LEMBO Executive Director 619-420-3620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: 252Y0000X) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2012-08-02 |