| NPI | 1912773581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN FOX CEO And Clinical Director 949-573-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |