| NPI | 1831752781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CEJA President 844-636-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2021-04-01 |