| NPI | 1881318921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUISE JOHNSON CFO/ Clinical Supervisor 951-638-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-06-30 |