| NPI | 1568070720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE SKILLMAN Chief Executive Office 760-267-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |