| NPI | 1831720119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK VAN AKEN Owner, COO 805-813-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |