| NPI | 1548492929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR GARZA Co Owner/ Licensee 951-353-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 336409401) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |