| NPI | 1497496160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BOONE Assistant 951-858-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |