| NPI | 1811240237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA NICOLE FISHER Clinical Director 323-350-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2015-02-13 |