| NPI | 1861729238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO KEISMAN Rcc 714-292-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 1827987) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2023-06-01 |