| NPI | 1457768848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARIE CAROTHERS Owner 562-900-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |