NPI | 1588894760 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BRLETICH Qa 909-982-7550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 360911291) |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-07-21 |