| NPI | 1477349249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA L ROGERS Founder 619-303-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 251B00000X Case Management | |
| 302R00000X Health Maintenance Organization | |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |