| NPI | 1508307125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASANDRA RENEE FLORES Registered Behavior Technician 253-732-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 106S00000X) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |