| NPI | 1508645276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFAH S GRADY CEO 858-253-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 171000000X Military Health Care Provider | |
| 174H00000X Health Educator | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |