| NPI | 1508369281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB SHAHAWI CEO 760-631-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-14 |