| NPI | 1568928349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ALBERTO CRUZ Owner 323-388-6178 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2025-02-05 |