Provider Demographics
NPI:1124368824
Name:THE MACDOUGAL-MORRIS GROUP, LLC
Entity Type:Organization
Organization Name:THE MACDOUGAL-MORRIS GROUP, LLC
Other - Org Name:PIONEER DAY SCHOOL & LEARNING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-252-7580
Mailing Address - Street 1:4764 SANTA MONICA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-2209
Mailing Address - Country:US
Mailing Address - Phone:619-758-9424
Mailing Address - Fax:619-758-9589
Practice Address - Street 1:4764 SANTA MONICA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-2209
Practice Address - Country:US
Practice Address - Phone:619-758-9424
Practice Address - Fax:619-758-9589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty