| NPI | 1679858203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHITA P RENNER CEO 949-457-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2014-09-29 |