| NPI | 1528120045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO GUZMAN SANTIAGO Licensee Owner 562-804-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |