| NPI | 1619242088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL PRIOR Executive Clinical Director / CEO 562-972-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA MFC50968) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA MFC 50968) |
| 252Y00000X Early Intervention Provider Agency (Licence: CA BCBA 1-06-3068) | |
| Enumeration Date | 2012-03-18 |
| Last Update Date | 2016-11-15 |