| NPI | 1205140548 |
|---|---|
| Doing Business As | EARLY CHILDHOOD TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA APODACA Account Representative 424-206-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: CA A78624) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-09-17 |