S.t.a.r.t Neurodevelopment Assessment and Treatment Center
NPI #1255450979 in San Bernardino, California
Provider Information
- NPI Number
- 1255450979
- Entity Type
- Organization
- Organization Name
- S.t.a.r.t Neurodevelopment Assessment and Treatment Center
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Jun 26, 2008
Practice Location
- Address
- 164 W HOSPITALITY LN STE 3
- City
- San Bernardino
- State
- California
- ZIP Code
- 92408-3328
- Phone
- (909) 891-1880
Authorized Official
- Name
- DR. KIM LAKES, PHD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (909) 891-1880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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