| NPI | 1457892713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KING YECKLEY Speech Language Pathologist 909-938-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA SP7217) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2017-03-19 |