| NPI | 1205184082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEY GABRIELLE UTTER Licensed Speech Pathologist 760-564-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA SP 9417) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |