Organization
CAROUSEL DEVELOPMENTAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE BLACKMAN M.A. (CO-OWNER/DIRECTOR)
(909) 469-2022
Entity
Organization
Contact information
Practice address
300 S PARK AVE STE 804, POMONA, CA 91766-1559
(909) 469-2022
Mailing address
300 S PARK AVE STE 804, POMONA, CA 91766-1559
(909) 469-2022
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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