| NPI | 1598588634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEA BLAIR Program Director 909-473-7594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-25 |