| NPI | 1780411330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA HAYNER President 951-541-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QX0100X Clinic/Center Occupational Medicine | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |