| NPI | 1962488007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL KILMER Executive Director 760-721-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2018-09-28 |