| NPI | 1811217672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA CORRAL Executive Director 909-793-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |