| NPI | 1669891644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA C RIQUELME Clinical Executive Director 949-235-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CA 1-13-12788) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2022-09-27 |