NPI | 1790425247 |
---|---|
Entity Type | Organization |
Authorized Contact | AJA ROLEY Clinical Director 949-474-4525 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
Enumeration Date | 2022-03-31 |
Last Update Date | 2022-03-31 |