| NPI | 1730756586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKA NWANI Owner 951-801-0549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-11-10 |