| NPI | 1598581985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PERAZA CEO 760-217-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |