| NPI | 1407612153 |
|---|---|
| Doing Business As | PTL PEDIATRIC DAYCARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT CLARK President 530-891-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |