| NPI | 1437887189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA DOLLENTE Chief Operating Officer 909-684-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |