| NPI | 1942434741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA MCDORMAN Business Manager 949-701-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2020-02-10 |