| NPI | 1952617565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA BENOIT Owner 949-836-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CO 1354) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |