| NPI | 1689113326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHAB SHAHAWI CEO 657-206-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2018-03-29 |