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Organization
IMPERIAL VALLEYRESPITE, INC.
Active
Organization
IMPERIAL VALLEYRESPITE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATALINA A SANTILLA (CHIEF EXECUTIVE DIRECTOR)
(760) 351-0825
Entity
Organization
Contact information
Practice address
630 S. IMPERIAL AVE., STE. 2, BRAWLEY, CA 92227
(760) 351-0825
(707) 561-7746
Mailing address
630 S. IMPERIAL AVE., STE. 2, BRAWLEY, CA 92227
(760) 351-0825
(707) 561-7746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26978
CA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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