| NPI | 1790126423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LEAF Executive Director 562-221-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-07-03 |