Organization
BUILDING A GENERATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA CORRAL (EXECUTIVE DIRECTOR)
(909) 793-8822
Entity
Organization
Contact information
Practice address
202 E PENNSYLVANIA AVE, REDLANDS, CA 92374-2344
(909) 307-2424
(909) 793-8823
Mailing address
129 E VINE ST, REDLANDS, CA 92373-4759
(909) 793-8822
(909) 793-8823
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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