| NPI | 1457659583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE LOREI SPICKELMIER Secretary/Treasurer 951-961-9152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA PJ3678c) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |