| NPI | 1295509164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN HARALSON Speech Language Pathologist 661-317-8395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-12-28 |